Biller/Coder

Biller/Coder -Ambulatory Revenue Cycle (with a focus on Surgical Experience)

Schedule - Full Time/Days (Hybrid)

JOB DESCRIPTION
The Biller coder assigns diagnoses and procedure codes to patient records for services rendered. Submits clams and statements to third-party payers ad guarantors. Maintains correspondence regarding billing questions and field calls from patients regarding statements.

• Verifies accuracy of patient's insuance company name/address. Sends original claims along with any supporting documentation to insurance company.
• Runs daily batch report for billing and balances to daily schedule of fees charged.
• Loads current forms into printer and prints insurance claims; electronically when accepted by payor.
• Determines needs for any supporting documentation required by the insurance company/case and copies documents for inclusion with claim form.
• Submits claim to patient's secondary insurance (including primary carrier's EOB) after receiving correct payment from primary carrier.
• Verifies accuracy of insurance payments received/posted.
• Assigns correct ICD-10-CM code to all diagnoses and correct ICD-10-CM PCS codes to all procedures documented in medical record.
• Assesses documentation to ensure it is adequate and appropriate to support the diagnoses and procedures to be coded.
• Receives all calls and correspondence related to patient bills, whether from patients or insurance companies. Answer all billing questions in a clear and polite manner; pull's busness charts/computer files as necessary to answer questions.
• Follows up with collections representative or business office manager on any problem claims regarding coding/supply charges.

Experience

• 1-year Third Party Payor Coding experience required.
• 2-years preferred.

Skills and Abilites

• Must be able to work on complicated accounts by diligently pursuing the reasons for lack of or incomplete payment.
• Must be able to identify proper persons to assist with the problems.
• Must understand the priorities in which patient accounts need to be worked and proceed accordingly.
• Must understand contracts, contract language, and mantain good working relatonships with payors.

Certificatea/Licenses/Registrations

• Certified Professional Coder (CPC)

OR

• Certified Coding Specialist (CCS)

OR

• Certified Coding Associate (CCA)

Qualifications

Education

• Required Highschool /GED or better.

by Jobble

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